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SHEILA RENAE UNDERWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2865 JAMES BLVD, POPLAR BLUFF, MO 63901-2803
(573) 776-1100
Mailing address
111 BROWN ACRES DR, PORTAGEVILLE, MO 63873-9317
(157) 437-9069

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020034599
MO

Other

Enumeration date
03/03/2021
Last updated
03/03/2021
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